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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>HoangNM - Khung trời mộng mơ</title>

<link href="styles/myform.css" rel="stylesheet" type="text/css" />

</head>

<body>
<div class="formarea">
<div class="requiredfld"><span class="required">*</span> Required</div>
<form>
  <h2>Đừng rờ dzô nhé!</h2>
  <p>Demo của em đó nha mọi người!.</p>
  <h3>My Form Sub Title</h3>
  <div class="subfieldsset">
  
    <div>
      <label for="addressline"><span class="required">*</span> Address Line</label>
      <input size="30" id="addressline" name="addressline" type="text">
      <label for="postcode"><span class="required">*</span> Post Code</label>
      <input size="30" id="postcode" name="postcode" type="text"><input name="addresslookup" type="button" value="Lookup" />
    </div>
    <div>
      <label for="city"><span class="required">*</span> City/Town</label>
      <input size="30" id="city" name="city" type="text"><label for="country">Nation/Country</label>
      <select id="country">
        <option selected="selected">Australia</option>
        <option>India</option>
      </select>
      <br>
      <label></label>
     
      </div>
      <div>
      <label for="typebusiness"><span class="required">*</span> Type of Business</label>
      <input size="30" id="typebusiness" name="typebusiness" type="text" disabled="disabled"><input name="typebusinesslookup" type="button" value="Lookup" /><label for="typebusiness">Country</label>
      <input size="30" id="siccode" name="siccode" type="text" disabled="disabled"><label for="siccode">SIC Code</label>
      <br>
      <label></label>

      </div>
    <div>
      <label></label>
      <label for="premium" class="labelsmall">
      <input name="ordertype" id="premium" type="radio">
      Premium</label>
      <label for="free" class="labelsmall">
      <input name="ordertype" id="free" type="radio">
      Free</label>
    </div>
    <div>
      <label for="Description">Description</label>
      <textarea name="Description" cols="50" rows="3" id="Description"></textarea>
    </div>
    <div>
      <label></label><label for="Newsletters" class="labelsmall"><input id="Newsletters" name="Newsletters" type="checkbox"> Get Daily Newsletter?</label>
    </div><br>

  </div>
  <div class="buttonsarea">
    <input value="Save the form &amp; Take me to the next step" name="submit_form" type="submit">
  </div>
  <br>
</form>
</div>
</body>
</html>
